PULSAR II™ ADVANCED WOUND IRRIGATION (AWI)™ WOUND DEBRIDEMENT SYSTEM Application Video

Summary

Sue Teeter, Clinical Director at Sanera MedTech, provides a step-by-step guide for the bedside application process of the Pulsar 2 Advanced Wound Irrigation system. The process includes reviewing provider orders, gathering supplies, setting up the equipment, and applying the treatment bag. Sue explains the importance of maintaining sterile technique, using proper personal protective equipment, and assessing patient comfort during the procedure. The summary highlights key steps, such as preparing the irrigant solution, performing the irrigation, and documenting the treatment for patient records, ensuring a smooth and safe wound care process.

Takeaways

• 📝 Review the provider's orders for pulsed irrigation or hydro-mechanical debridement.
• 🧼 Wash your hands and gather necessary supplies, including personal protective equipment, irrigation bags, irrigant solution, and biohazard waste materials.
• 🧤 Use personal protective equipment as required by the facility's protocol, including disposable gloves and a protective pad under the treatment area.
• 💧 Select the appropriate irrigation bag size based on the treatment area, such as extremity or trunk sizes.
• 🔧 Attach the irrigator tip to the Pulsar 2 handpiece and prime the irrigation tubing before use, ensuring the clamp is in place.
• 🏥 Prepare the drainage collection bag and use a solidifier to prevent spills, positioning it for proper fluid flow.
• 👩‍⚕️ Ensure patient privacy, explain the procedure, and assess pain levels before starting the treatment.
• 🚿 During the procedure, maintain the irrigator tip approximately one inch away from the wound, using a circular motion without touching the skin.
• ⛔ If the patient experiences discomfort, stop treatment and reassess pain management needs.
• 📝 After treatment, document key details including treatment date, irrigant type and amount, pre and post-treatment assessments, and the patient’s response.

Q & A

What is the main purpose of the Pulsar 2 Advanced Wound Irrigation (AWI) system?

The Pulsar 2 AWI system is designed to provide pulsed irrigation or hydromechanical debridement, aiding in the cleaning and debridement of wounds using prescribed irrigation solutions.

What supplies are necessary for the Pulsar 2 wound irrigation procedure?

You will need personal protective equipment (PPE), a protective pad, disposable gloves, the Pulsar 2 AWI irrigator, an appropriately sized irrigation bag, prescribed irrigant solution (e.g., saline or antimicrobial solution), a biohazardous waste bag, an IV pole, skin protectant (if needed), and prescribed wound dressing materials.

How should the irrigation bag be selected and prepared?

Irrigation bags are available in extremity or trunk sizes, and the opening can be customized to fit the wound. The bag comes with a standard disposable irrigator tip, but a tunneling tip can be used if needed. Label the bag with the patient’s name and date before use.

What steps should be taken to prepare the equipment before starting the procedure?

Consider warming the irrigant in a basin of warm tap water, then pat the container dry. Hang the irrigation solution and the Pulsar 2 AWI battery pack from the IV pole, attach the irrigator tip securely to the handpiece, prime the tubing, and prepare the drainage collection bag with a solidifier.

What is the correct procedure for applying the irrigation bag to the wound area?

Apply the treatment bag by positioning it over the wound area, securing the open end to the skin by removing the tape backing and applying it smoothly. Start from the bottom of the area and work upwards.

How should the handpiece be used during the irrigation process?

Insert the tip of the irrigator handpiece through the treatment bag entrance, unclamp the tubing, and hold the tip about one inch away from the skin and wound. Adjust the flow using the handpiece and use a steady circular motion to irrigate the wound, ensuring the handpiece does not touch the wound.

What should be done if the patient experiences discomfort during the procedure?

If the patient expresses discomfort, stop the procedure and reassess pain management. It is important to ensure the patient is comfortable throughout the treatment.

How should the equipment and waste be managed post-procedure?

After treatment, turn off the unit, re-clamp the tubing, discard the irrigator tip into biohazardous waste, and ensure all fluid drains into the collection system. The solidifier in the collection system may take up to 15 minutes to fully gel.

What cleaning steps should be taken after the procedure?

Clean the exterior surface of the irrigator following the facility’s infection control policies, dispose of biohazardous waste according to facility requirements, and hang the handpiece in a tip-down position to prevent reflux of residual fluid.

What documentation is required after the procedure?

Document the date and time of treatment, the amount and type of irrigant used, patient and wound assessments pre- and post-treatment, any items removed during therapy, how the patient tolerated the procedure, and the post-procedure dressing applied.

Outlines

00:00

🩺 Introduction to Pulsar 2 Wound Irrigation System

Sue Teeter, the clinical director at Sanera MedTech, introduces the Pulsar 2 advanced wound irrigation system. She outlines the basic process of preparing for bedside wound care, including reviewing the provider's orders for pulsed irrigation or hydro-mechanical debridement, gathering necessary supplies, and adhering to hand hygiene protocols. The required materials include personal protective equipment (PPE), a protective pad, gloves, the Pulsar 2 device, and a properly sized irrigation bag. Irrigation bags come in different sizes to fit extremities or trunks, and a variety of irrigant solutions can be used based on the provider’s prescription.

05:02

🛠️ Setting Up the Equipment

The setup process begins with warming the irrigant solution if needed and assembling the Pulsar 2 equipment. Sue explains how to attach the irrigator tip to the handpiece and prime the irrigation tubing. The procedure includes hanging the irrigation solution on an IV pole, ensuring proper priming, and setting up the drainage collection system with solidifier. A biohazard waste bag should also be prepared for safe disposal. Finally, the patient is informed about the procedure, and pre-procedure assessments of wound and pain levels are conducted.

🧤 Preparing for the Procedure

After explaining the procedure and positioning the patient for optimal drainage, hand hygiene is again emphasized, along with donning PPE. Sue discusses how to remove the soiled dressing using clean techniques, dispose of it appropriately, and re-sanitize hands before applying new gloves and continuing with the treatment. This section highlights the importance of infection control and personal protection during the treatment process.

💧 Applying the Irrigation Bag and Treatment

The selected irrigation treatment bag is applied to the wound area, and the irrigation handpiece is carefully inserted into the treatment entrance. The irrigation is performed using a steady circular motion, keeping the irrigator tip at a safe distance from the skin. The flow of the irrigant solution is adjustable, and the process is monitored to ensure proper cleaning and drainage. Patient comfort is prioritized, with the procedure paused if discomfort occurs, allowing for reassessment of pain management.

🧼 Post-Treatment Procedures and Cleanup

After completing the irrigation treatment, Sue details the proper shutdown process for the equipment, including turning off the unit, reclamping the tubing, and safely removing and disposing of the irrigator tip. The treatment bag is carefully removed to prevent fluid spillage, and the solidifier in the collection system may take up to 15 minutes to gel. The exterior of the irrigator is disinfected according to facility protocols, and biohazardous waste is disposed of properly. The irrigator is stored in a way that prevents fluid reflux, and the peri-wound area is dried and dressed as prescribed.

📝 Documenting the Procedure

Sue emphasizes the importance of accurate documentation following the procedure. The medical record should include the date and time of the treatment, the amount and type of irrigant used, pre- and post-treatment assessments of the patient and the wound, any removed debris, the patient’s tolerance of the procedure, and details about the dressing applied post-treatment. Proper record-keeping ensures continuity of care and compliance with medical guidelines.

Keywords

💡Pulsar 2 Advanced Wound Irrigation (AWI) System

The Pulsar 2 AWI system is a medical device used for cleaning wounds through pulsed irrigation, facilitating wound debridement and cleansing. It is the primary focus of the video, as the narrator explains its setup and use for effective wound care. The device includes a handpiece and a disposable irrigator tip, which are used to direct a controlled stream of irrigant solution onto the wound.

💡Hydromechanical debridement

Hydromechanical debridement refers to the removal of dead, damaged, or infected tissue from a wound using a pressurized liquid stream. In the context of the video, it is described as one of the processes that the Pulsar 2 AWI system facilitates, which helps clean the wound and promotes healing. The term is essential as it defines a primary function of the Pulsar 2 system.

💡Personal Protective Equipment (PPE)

Personal Protective Equipment (PPE) includes items like gloves, gowns, and face masks that protect healthcare workers from exposure to potentially infectious materials. In the video, the speaker emphasizes the importance of wearing PPE while performing wound care to maintain safety and infection control. PPE is a crucial component of medical protocols and is highlighted throughout the procedure.

💡Irrigant solution

The irrigant solution is the liquid used in the Pulsar 2 AWI system to clean wounds. It can be saline or an antimicrobial solution like BioCoat. The choice of irrigant depends on the provider’s orders and is an integral part of the procedure for ensuring proper wound hygiene and infection prevention, as explained in the video.

💡Biohazardous waste

Biohazardous waste refers to medical waste that may contain infectious materials, including used gloves, dressings, and disposable equipment. The video highlights the importance of safely disposing of biohazardous waste in designated bags to prevent contamination and maintain a clean environment during the procedure.

💡Wound dressing materials

Wound dressing materials are used to cover and protect the wound post-treatment. In the video, the speaker advises gathering the appropriate dressing before beginning the procedure to ensure proper wound care after the irrigation process. Dressings are a crucial step in promoting healing and preventing infection.

💡Pain assessment

Pain assessment is the evaluation of a patient's pain level before and during the procedure. The video stresses the importance of assessing and managing the patient's pain to ensure comfort. If the patient experiences discomfort during treatment, adjustments or interventions may be necessary to address it.

💡Irrigator handpiece

The irrigator handpiece is part of the Pulsar 2 AWI system and is used to control the flow of the irrigant solution. The video explains how to attach the irrigator tip to the handpiece and operate it to ensure the wound is properly cleaned. The handpiece allows the user to adjust the pressure and direct the solution during the procedure.

💡Prime the tubing

Priming the tubing refers to filling the tubing of the Pulsar 2 AWI system with irrigant solution before beginning the procedure. This step is critical to ensure that the system is ready to deliver the solution to the wound without air pockets or interruptions. The video outlines this process as part of setting up the equipment.

💡Solidifier

The solidifier is a substance added to the drainage collection bag to turn liquid waste into a solid gel. This helps safely contain biohazardous fluids for disposal. The video mentions that the solidifier may take up to 15 minutes to work fully, and its role is vital for ensuring safe handling and disposal of waste.

Highlights

Review the provider's orders for pulsed irrigation or hydro-mechanical debridement before starting the procedure.

Gather essential supplies such as personal protective equipment, a protective pad, disposable gloves, and the Pulsar 2 AWI irrigator.

Irrigation bags come in different sizes for extremities or trunks, and can be customized to fit the wound.

A tunneling tip for the irrigator is available if needed in addition to the standard disposable tip.

Irrigant solutions may include saline or an antimicrobial solution like BioCoase.

Consider warming the irrigant solution in a basin of warm tap water for patient comfort.

The Pulsar 2 AWI irrigator is for single patient use only, and should be properly labeled with the patient’s name and date.

The irrigator tip clicks securely into place on the Pulsar 2 handpiece, and the tubing should be primed before use.

A biohazard waste bag should be prepared for easy disposal of contaminated items after the procedure.

Ensure that the fluid in the treatment bag flows downward into the collection system to prevent spills.

The Pulsar 2 handpiece allows for two speeds of irrigant flow, between 8 to 15 PSI, to suit different treatment needs.

During the procedure, assess the wound periodically and adjust the collection bag as needed to maintain fluid flow.

If the patient experiences discomfort during the procedure, pause and reassess pain management.

After treatment, ensure that all fluid is drained and follow infection control policies for cleaning the equipment.

Documentation should include the date and time of treatment, the amount and type of irrigant used, and how the patient tolerated the procedure.

Transcripts

hello I'm sue Teeter clinical director

of sanera medtech I'm here to present

the bedside application process for the

pulsar to advanced wound irrigation

system first review the providers orders

for pulsed irrigation or hydro

mechanical debridement wash your hands

and gather your supplies you'll need

personal protective equipment is

required by your facility a protective

pad to place under the area of treatment

and several pairs of disposable gloves

you'll also need your pulsar to AWI

urugay tur and select the appropriate

size of irrigation bag note that

irrigation bags are available in an

extremity size or two trunk sizes of

which the opening may be cut to

customize to the shape of the wound each

irrigation bag comes with a standard

size disposable irrigator tip but a

tunneling tip is also available if

needed gather the prescribed irrigants

solution which could be saline or an

antimicrobial solution such as bio Coase

you will also need a bio hazardous waste

bag and an IV pole a skin protectant may

be required for those with very friable

skin be sure to gather the prescribed

wound dressing materials for post

procedure application label the

equipment and protective cover bags the

patient or residence name and date note

that the irrigator is for single patient

use only let's set up your equipment

consider warming the irrigant and a

basin of warm tap water prior to use

what's warmed Pat the container dry and

hang the prescribed irrigation solution

along with the pulsar to AWI battery

pack from the IV pole attach the

irrigator tip to the pulsar 2 handpiece

you will hear a click when the tip is

securely in place uncap and puncture the

irrigation solution and Prime the tubing

close the irrigation tubing after

priming with the clamp located near the

handpiece using the hook located on this

clamp hang the pulsar 2 handpiece from

the IV pole until ready for use prepare

the drainage collection bag with

solidify er make sure it is not twisted

and his position so that the fluid will

flow downward into the collection bag

place a biohazard waste bag around the

solidify portion of the drainage

collection bag for easy disposal of

items after the procedure provide

privacy and then explain the procedure

to the patient or the resident provide

appropriate pre-procedure wound and pain

level assessment position the patient

comfortably ensuring an unobstructed

downward flow of the fluid into the

collection bag well this is a contained

system a protective pad under the area

to be treated may be used wash your

hands and Don disposable gloves using

clean technique remove the soil dressing

and dispose of it in accordance with

universal precautions discard your

gloves in a biohazard is waste

receptacle and Reese Anna ties your

hands put on personal protective

equipment as per facility protocol

including new gloves you're now all

ready to begin treatment with pulse are

to apply the selected treatment bag to

the wound area make sure that the

irrigator entrance is positioned over

the area designated for treatment gently

secure the open nut of the bag to the

skin by removing the tape backing while

smoothly applying the pre-taped bag

beginning at the bottom of the area

being treated and working upward insert

only the tip the irrigator handpiece

through the treatment entrance unclamp

the primed

tubing hold the sleeve around the

irrigator handpiece and maintain the tip

approximately one inch away from the

skin and wound the handpiece allows you

to adjust the flow of irrigant at two

speeds 8 to 15 pounds per square inch

irrigate using the handpiece with the

prescribed irrigant solution using a

steady circular motion do not allow the

handpiece to touch any part of the wound

or patient if the patient expresses

discomfort during the procedure stop

treatment and reassess pain management

periodically assess the wound that is

being thoroughly clean and make sure the

fluid is draining properly position and

adjust the collection bag is may be

needed irrigate the wound until the

prescribed amount of solution is been

administered post treatment when you

finish the therapy turn off the unit and

re clamp the irrigant tubing carefully

remove the irrigator handpiece from the

access sleeve on the bag holding the

hand unit with the irrigator tip down

remove and discard the tip into

biohazardous waste ensure that all fluid

in the treatment bag is drained into the

collection system carefully remove the

treatment bag beginning at the top of

the securement area so that all fluid is

contained within the pulsar to system

note that the solidify er in the

collection system may take up to 15

minutes to completely gel clean the

exterior surface of the irrigator

following your facility infection

control policies for equipment

disinfection dispose of biohazardous

waste as per facility requirements re

glove and hang the hand irrigator unit

in the tip down position on the IV pole

this prevents reflux of any residual

fluid into the irrigator cover with the

clean storage bag pet the peri wound

area dry and apply the wound dressing as

prescribed please remember in your

documentation to place the following in

the medical record the date and time of

treatment the amount and type of

irrigant the assessment that was

completed of the patient and the wound

pre and post-treatment any items removed

during therapy such as debris exude a

sloth how the patient or a resident

tolerated the procedure and the dressing

that was applied post procedure thank

you

[Music]

you

[Music]